NPIMap

Organization Active NPI

Eyes on Site PLLC

Doing business as Eye See

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1053043331
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON SITE PLLC
Doing business as
Eye See
Practice address
2826 E Baseline Rd Ste 103
Mesa, AZ 85204-7282
Phone
(480) 632-5075
Fax
(480) 507-0836
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey David Wine, ODNPI 1609962323
Title
Owner
Phone
(480) 626-8925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2826 E Baseline Rd Ste 103
Mesa, AZ 85204-7282

Mailing address

2826 E Baseline Rd Ste 101
Mesa, AZ 85204-7282
Phone (480) 626-8925

Other names 1

  • Eye See Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye See2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2826 E Baseline Rd
Ste 103
Mesa, AZ 85204
Phone (480) 632-5075

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1053043331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047282",
            "telephone_number": "480-626-8925",
            "fax_number": "480-704-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 E BASELINE RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047282",
            "telephone_number": "480-632-5075",
            "fax_number": "480-507-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON SITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-626-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye See",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.